Dr Ross MacIntyre
Cataract, Corneal and Refractive Surgeon
Services

Keratoconus

Comprehensive management of keratoconus — from diagnosis and monitoring to cross-linking and corneal transplantation.

What is Keratoconus?

Keratoconus is a progressive condition in which the cornea — normally dome-shaped — progressively thins and bulges outward into a cone shape. This irregular shape causes blurred, distorted vision that worsens over time.

It most commonly begins in the teenage years and early twenties. Early diagnosis is critical, as intervention at the right stage can halt progression and preserve vision.

Symptoms

  • Progressive blurring of vision
  • Distortion — straight lines appear wavy
  • Increased light sensitivity and glare
  • Frequent changes in glasses prescription
  • Difficulty with night vision
  • Eye rubbing (which worsens the condition)

Treatment Options

Glasses & Contact Lenses
Mild keratoconus can often be managed with glasses or soft contact lenses. As the cone progresses, rigid gas-permeable or scleral lenses provide better correction.
Corneal Cross-Linking (CXL)
The gold-standard treatment to halt progression. Riboflavin drops are applied to the eye and activated with UV light to strengthen corneal collagen bonds. Recommended when progression is detected.
DALK (Deep Anterior Lamellar Keratoplasty)
Partial corneal transplant replacing the front layers. Preferred for advanced cases where the endothelium remains healthy.
Penetrating Keratoplasty (PKP)
Full-thickness corneal transplant for the most advanced cases or when DALK is not possible.
FAQ

Keratoconus Melbourne — FAQ

Diagnosed with Keratoconus?

Early assessment is essential. Dr MacIntyre will determine whether cross-linking is indicated and guide your long-term management plan.

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